Facility Request Form Request for Use of Parish Facilities "*" indicates required fields Name of Event* Date of Event* MM slash DD slash YYYY Organization:* Parish Group School / PTO Group Diocesan Office Other Request for the following facilities:* Cathedral of St. Thomas More (main church) Burke Hall Select AllList Parish Group: List Diocesan Office: Other: Brief Description of Event*Set Up and Event TimeBurke Hall Set Up Time Begins:* Hours : Minutes AM PM AM/PM Event Start Time* Hours : Minutes AM PM AM/PM Event End and Clean Up TimeEvent End Time* Hours : Minutes AM PM AM/PM Clean Up Completed by:* Hours : Minutes AM PM AM/PM Event DetailsHow many people will be attending your event?*Attach Set Up for Burke Hall - https://www.cathedralstm.org/burke-hall-layout-2021/Max. file size: 50 MB.Equipment: Microphone Projector and Screen Person Responsible for Keys* This person is responsible for locking up all the doors after the event and securing the premises and returning the keys after the event to the rectory office. Pick Up Date of Key* MM slash DD slash YYYY Time key will be picked up* Hours : Minutes AM PM AM/PM Will your group be using Burke Hall Kitchen for food preparation?* Yes No Food can not be prepared on site. If the kitchen and utensils are not clean after use, groups may be subject to an additional $75.00 cleaning fee. Will you be using a caterer? If so, please list company name and contact. Use of the CathedralWill there be a Mass in the Cathedral associated with your event?* Yes No Is this a funeral Mass?* Yes No Mass Begins Hours : Minutes AM PM AM/PM Mass Ends Hours : Minutes AM PM AM/PM If using the Cathedral, will you need a flower arrangement for the altar? Yes No Will the Most Reverend Michael Burbidge be the main celebrant at your event? Yes No If Bishop Burbidge is not the main celebrant, please list the celebrant. If the priest is not a member of the Diocese of Arlington, we will need a letter of Good Standing sent to our Chancery at least 10 days prior to the event. Event Contact InformationEvent Contact Name* First Last Cell Phone Number*Contact Email* Address where invoice will be sent:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code FeesThe rental fee structure for Burke Hall is $300.00 for the first two hours and then $100.00 for each hour after the initial two hours. Payment must be made to the Cathedral of St. Thomas More at least 10 days prior to the event. First Two Hours for Burke Hall* Price: Additional Hours Quantity Price: $100.00 Quantity First Two Hours for Cathedral Price: Additional Cathedral Hours Quantity Price: $500.00 Quantity Total Due The fees are due in full 10 days prior to event. Electronic Signature*I understand that I am responsible for payment and ensuring the facility is neat, orderly, and locked after the event that the keyes are returned to the rectory office immediately after the event. First Last Office UseReservation Form Received in Office _______________________________________________ Date Check Received / Initial ________________________________________ Date Entered on Calendar / Initial ____________________________________ CAPTCHA
